Urolithiasis treatment
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, 1. Management by treating pain, infection and/or obstruction
--Opioid administration to decrease pain of colic during acute phase
--Tamsulosin (Flomax)
--Adrenergic blockers: relax smooth muscle which will facilitate stone
passage
2. Evaluation of the stone formation and prevention of further stone
development
--Hydration: 3L/day
--Diet management: limit caffeine, Na+ and other foods that increase
specific type of stone formation
--Determine if there is a history of stone development
--Monitor VS and I&O
--Medications that inhibit stone formation
Acute pyelonephritis diagnosis
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-H&P
-UA and C&S
-Ultrasound, CT scan
-CBC with differential
-Blood culture
-Percussion for flank pain (CVA)
Erythropoietin
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-A hormone produced and released by the kidney that stimulates the
production of red blood cells by the bone marrow.
-Insufficient erythropoietin leads to anemia
, Urinary incontinence patient education
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-Adequate consumption of fluids
-Reduction of bladder irritants: caffeine and alcohol
-Maintain a regular, flexible schedule of urination (usually every 2-3 hours
while awake)
-Quit smoking
-Scheduled voiding regimens (timed voiding, habit training, and prompted
voiding), bladder retraining and Kegel exercises.
Catheter-associated urinary tract infections (CAUTI)
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-Most common health care-associated infection (HAI).
-Cause is E. coli and less frequently Pseudomonas organisms
-These infections are under-recognized and undertreated leading to
extended hospital stays and increased health care costs
Pyelonephritis, cystitis, urethritis, urosepsis and complicated and uncomplicated UTIs
Give this one a try later!
Give this one a try later!
, 1. Management by treating pain, infection and/or obstruction
--Opioid administration to decrease pain of colic during acute phase
--Tamsulosin (Flomax)
--Adrenergic blockers: relax smooth muscle which will facilitate stone
passage
2. Evaluation of the stone formation and prevention of further stone
development
--Hydration: 3L/day
--Diet management: limit caffeine, Na+ and other foods that increase
specific type of stone formation
--Determine if there is a history of stone development
--Monitor VS and I&O
--Medications that inhibit stone formation
Acute pyelonephritis diagnosis
Give this one a try later!
-H&P
-UA and C&S
-Ultrasound, CT scan
-CBC with differential
-Blood culture
-Percussion for flank pain (CVA)
Erythropoietin
Give this one a try later!
-A hormone produced and released by the kidney that stimulates the
production of red blood cells by the bone marrow.
-Insufficient erythropoietin leads to anemia
, Urinary incontinence patient education
Give this one a try later!
-Adequate consumption of fluids
-Reduction of bladder irritants: caffeine and alcohol
-Maintain a regular, flexible schedule of urination (usually every 2-3 hours
while awake)
-Quit smoking
-Scheduled voiding regimens (timed voiding, habit training, and prompted
voiding), bladder retraining and Kegel exercises.
Catheter-associated urinary tract infections (CAUTI)
Give this one a try later!
-Most common health care-associated infection (HAI).
-Cause is E. coli and less frequently Pseudomonas organisms
-These infections are under-recognized and undertreated leading to
extended hospital stays and increased health care costs
Pyelonephritis, cystitis, urethritis, urosepsis and complicated and uncomplicated UTIs
Give this one a try later!
